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Nama Siswa (i)
: .......................................................................................................
Nama Ayah
: .......................................................................................................
Nama Ibu
: .......................................................................................................
Tempat, tanggal lahir
: ......................................................................................................
Jenis Kelamin
: O Laki- laki
Anak Ke
: ........... ( ............... )
Status dalam keluarga
: O Sulung
Kelas mulai masuk
: ........... ( ............... )
Berasal dari sekolah
: ......................................................................................................
Alamat murid
: ......................................................................................................
Alamat orang tua / Wali
: ......................................................................................................
Pekerjaan orang tua / Wali
: ......................................................................................................
Biaya pendaftaran
: Rp 50.000 ,-
O Perempuan
O Bungsu
O Lunas
O Tengah
O Tunggal
O Belum lunas
Biaya pendaftaran sudah termasuk SPP 2 bulan ( Juli – Agustus 2013 ) dan infaq bulan Ramadhan
1434 H
Cempaka, ....... Juni 2013
Orang tua murid / Wali
Petugas
Penerima Siswa (i) Baru
( ....................................... )
( .................................... )
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